Screening and Needs Assessment Tools for Palliative Care in Patients with Cardiovascular Disease: Narrative Review.

IF 3.8 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS

Current Heart Failure Reports Pub Date : 2025-06-30 DOI:10.1007/s11897-025-00708-x

Angela Iurlaro, Eleonora Meloni, Basile Mouhat, Graziano Onder, Fiona Ecarnot

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引用次数: 0

Abstract

Purpose of review: There is a growing need for palliative care (PC) among patients with cardiovascular disease (CVD), as population ageing and technological progress bolster the numbers of patients living with chronic forms of CVD.

Recent findings: PC can provide support and benefits in areas that are not necessarily addressed by medical therapy. However, many healthcare providers, and cardiologists in particular, struggle with identifying the right time to introduce PC in the care trajectory of patients with CVD, especially in heart failure, where the clinical course is punctuated by highs and lows, with periods of stability that may last several months to years. The use of validated assessment tools to recognize PC needs of people living with CVD is recommended, but clinicians may be unaware of existing instruments and criteria for PC referral, or when and how to use them. We report here a narrative review of the literature, with the aim of providing an overview of useful tools for the identification and assessment of palliative care needs among patients suffering from cardiovascular disease with a view to improving their care process. We further discuss the overall suitability of available tools, as well as issues specifically related to implantable cardiac devices at the end-of-life.

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心血管疾病患者姑息治疗的筛查和需求评估工具：叙述性综述

综述目的：随着人口老龄化和技术进步增加了慢性CVD患者数量，心血管疾病（CVD）患者对姑息治疗（PC）的需求越来越大。最近的研究发现：个人电脑可以在医学治疗不一定能解决的领域提供支持和益处。然而，许多医疗保健提供者，特别是心脏病专家，很难确定在心血管疾病患者的护理过程中引入PC的合适时机，特别是在心力衰竭患者中，临床过程中不时出现高潮和低谷，稳定期可能持续数月至数年。建议使用经过验证的评估工具来识别心血管疾病患者的PC需求，但临床医生可能不知道现有的PC转诊工具和标准，也不知道何时以及如何使用它们。我们在此报告的文献叙述回顾，目的是提供一个有用的工具，以识别和评估的缓和治疗需求的心血管疾病患者的观点，以改善他们的护理过程的概述。我们进一步讨论了可用工具的总体适用性，以及与生命末期植入式心脏装置具体相关的问题。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Heart Failure Reports Medicine-Emergency Medicine

CiteScore

5.30

自引率

0.00%

发文量

期刊介绍： This journal intends to provide clear, insightful, balanced contributions by international experts that review the most important, recently published clinical findings related to the diagnosis, treatment, management, and prevention of heart failure. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as investigative, pharmacologic, and nonpharmacologic therapies, pathophysiology, and prevention. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.